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8520
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Sciatic nerve paralysis

Paralysis of the sciatic nerve, which may cause weakness and numbness in the leg and foot.

What the rating means

VA rates paralysis of the sciatic nerve under diagnostic code 8520. The possible ratings are 10%, 20%, 40%, 60%, and 80%. The regulation separates complete paralysis from incomplete paralysis, and within incomplete paralysis it recognizes four degrees of severity.

Complete paralysis is rated at 80%. At this level, the foot dangles and drops, no active movement of muscles below the knee is possible, and flexion of the knee is weakened or, very rarely, lost entirely. Incomplete paralysis covers everything less severe than that picture. Mild incomplete paralysis is rated at 10%, moderate at 20%, moderately severe at 40%, and severe incomplete paralysis with marked muscular atrophy at 60%. Because the regulation specifies that when involvement is wholly sensory, the rating should be for the mild or at most moderate degree, a purely sensory loss would not support a rating above 20%. The ratings above apply to one side; if both sciatic nerves are involved, the two ratings are combined with application of the bilateral factor.

Evidence that helps

Medical records that document the degree of motor loss below the knee are central to showing where you fall on the rating scale. For a complete paralysis rating, an examiner's findings of foot drop with no active movement of muscles below the knee, and notes about weakened or absent knee flexion, directly address the 80% criteria. For severe incomplete paralysis, records showing marked muscular atrophy — typically through physical measurements comparing the affected and unaffected limbs — support the 60% level.

For moderate or moderately severe ratings, nerve conduction studies, electromyography results, and examination findings describing the extent of motor and sensory loss help establish how much function is impaired. If the involvement is sensory only, that limits the rating to mild or moderate at most under the regulation. Statements from you or people who know you, describing how weakness, foot drop, or pain affects walking, standing, working, or daily tasks, can help show the functional picture that corresponds to each level of incomplete paralysis.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.